Abruptio placentae; risk factors, our follow-up-treatment protocols and relevants results

Yıl 2009, Cilt: 40 Sayı: 4, 159 - 166, 01.05.2009

İsa Çetin Mehmet Küçükbaş Vedat Dayıcıoğlu Doğan Vatansever

Öz

Objective: Within the scope of the majority of the final studies,it is put forth that abruptio plaçentae,preeclampsia and IUGR are varied forms of placental dysfunction.In this study,our objective was to analyze abruptio placentae risk factors, which have a significant role in maternal and fetal mortality- morbidity; to conduct a research on the relevant relation between IUGR and to revise the results of follow-up-treatment protocol, we implemented at Zeynep Kamil Gynecological and Infantile Diseases Training and Research Hospital Department of Obstetrics and Gynecology. Material and methods: This case-control study was conducted prospectively in labour room and caesarean services of the Obstetrics department of Training and Research Hospital Department of Obstetrics and Gynecology on the dates of June 2008 and August2009. Within the scope of the study,112 working groups (abruptio placentae) case 111 control group case take place. Findings: At the current pregnancy,rate of visibility of preeclampsia are statistically significant (p0,05).ODDs rate was determined as 3,101 (95% CI: 0,79-12,3). Rate of visibility ofhypothyroidis is not statistically significant between these groups (p>0,05). ODDs rate was determined as 4,037 (95 % CI: 0,44- 36,70). Result: In our study,we reached the result that preeclampsia increased the risk of abruptio placentae four time;whereas IUGR three times.Furthermore we determined that hypothyroidis increased rate of visibility of abruptio placentae 4,03 7 times. We determined that ourfollow-up-treatment protocolimplemented at our hospital,was in paralel with the majority of current compiled articles related to the issue.

Anahtar Kelimeler

Abruptio Placentae, Pre-Eclampsia, Clinical Protocols, Fetal Growth Retardation, Hypothyroidism

Plasenta dekolmanı; risk faktörleri, takip-tedavi protokollerimiz ve sonuçları

Öz

Amaç: Son çalışmalardan, birçoğunda abruptio plasenta, preeklampsi ve IUGR'nın; plasental disfonksiyonun değişik görünümleri olduğu iddia edilmektedir. lBu çalışmada maternal morbidite- mortalite ve fetal mortalite - morbiditede önemli rol oynayan abruptio plasenta risk faktörlerini analiz etmek; preeklampsi,IUGR ile olan ilişkisini araştırmak ve Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Kadın Hastalıkları kliniğinde uyguladığımız takip-tedavi protokolümüzün sonuçlarını gözden geçirmeyi amaçladık. Materyal ve metod: Bu vaka-kontrol çalışması, Haziran 2008 ile Ağustos 2009 yılları arasında Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Kadın Doğum bölümünde doğumhane ve sezaryen servislerinde prospektif olarak yürütülmüştür. Çalışmadav 112 çalışma grubu (plasenta dekolmanı) olgusu ve 111 kontrol grubu olgusu vardır. Bulgular: Şimdiki gebelikte preeklampsi görülme oranları, gruplara göre istatistiksel olarak anlamlı farklılık göstermektedir (p0,05). ODDS oranı 3,101 (%95 CI: 0,79-12,3) olarak saptanmıştır. Grupların hipotiroidi görülme oranları arasında istatistiksel olarak anlamlı farklılık görülmemektedir (p>0,05). ODDS oranı 4,037 (%95 CI: 0,44-36,70) olarak saptadık. Sonuç: Çalışmamızda dekolman riskini, preeklampsinin dört kat ve IUGR'nın üç kat artırdığı sonucuna ulaştık. Ayrıca plasenta dekolmanı görülme riskini hipotiroidinin 4,037 kat artırdığını tespit ettik.Hastanemizde uygulanan takip-tedavi protokolümüzün konuya ilişkin güncel derleme makalelerin çoğunluğu ile paralelik gösterdiğini belirledik.

Anahtar Kelimeler

Plasenta ayrılması, Preeklampsi, Klinik protokoller, Fetal gelişim geriliği, Hipotiroidi

Kaynakça

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